A nurse is caring for the 1-hour-old newborn of a diabetic ...

[mynx]

A nurse is caring for the 1-hour-old newborn of a diabetic mother. Which actions will the nurse include in the newborns plan of care? Select all that apply.
 
  A) Assess blood glucose hourly and then every 4 hours.
  B) Evaluate blood glucose levels at birth and at 6-hour intervals.
  C) Assess for hyperthyroidism.
  D) Assess the newborn's temperature hourly.
  E) Use formula for all feedings, avoiding 5 dextrose.

Question 2

The nurse caring for a client recovering from a suicide attempt. Which client statement indicates that the plan of care was effective to eliminate the risk of future suicide attempts?
 
  A) I am not looking forward to going home with my parents.
  B) I now know that threatening suicide will help me get what I want from my parents.
  C) Even though I failed this time, I lived to think about it again.
  D) I am looking forward to going to school and seeing my friends.

[owenfalvey]

Answer to Question 1

Answer: A, E

Newborns of diabetic mothers can require frequent feedings to maintain normal levels of blood glucose. Formula feedings contain protein and will maintain blood sugar better than glucose water alone. Alteration in temperature is not associated with newborns of diabetic mothers. The onset of hypoglycemia occurs at 1-3 hours after birth and can continue for several days. Blood glucose levels should be checked hourly during the first 4 hours and then at 4-hour intervals until stable normal levels are attained. Hyperthyroidism is not associated with newborns of diabetic mothers.

Answer to Question 2

Answer: D

The statement I am looking forward to going to school and seeing my friends indicates hope for the future, which is a desired outcome of care for a client who is at risk for suicide. The other statements indicate that the client may need further intervention either before discharge or once at home.